Journey of Life Psychological, Inc.
NPI 1073122958 · Mental Health Clinic/Center (Including Community Mental Health Center) · San Leandro, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Journey of Life Psychological, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in San Leandro, CA (NPI 1073122958).
Provider details
- NPI number
- 1073122958
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaseon Outlaw, Ceo(510) 463-1302
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Frequently asked questions
- What is Journey of Life Psychological, Inc.'s NPI number?
- Journey of Life Psychological, Inc.'s National Provider Identifier (NPI) is 1073122958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Journey of Life Psychological, Inc.?
- Journey of Life Psychological, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Journey of Life Psychological, Inc. located?
- Journey of Life Psychological, Inc.'s practice location on file with NPPES is 13847 E 14th St Ste 202, San Leandro, CA 94578-2626.
- What is Journey of Life Psychological, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Journey of Life Psychological, Inc. is (510) 564-5955.
- Does Journey of Life Psychological, Inc. accept Medicare?
- Journey of Life Psychological, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Journey of Life Psychological, Inc.?
- The authorized official listed on Journey of Life Psychological, Inc.'s NPPES record is Jaseon Outlaw, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Journey of Life Psychological, Inc.'s NPI active?
- Yes — Journey of Life Psychological, Inc.'s NPI (1073122958) is active in the NPPES registry as of the last update on 2020-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.